Early intervention in eating disorders: introducing the chronopathogram

Abstract Eating disorders (EDs) pose significant challenges to mental and physical health, particularly among adolescents and young adults, with the COVID-19 pandemic exacerbating risk factors. Despite advancements in psychosocial and pharmacological treatments, improvements remain limited. Early in...

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Main Authors: Antonio Preti, Francesco Bevione, Maria Carla Lacidogna, Andrea Raballo, Michele Poletti, Giovanni Abbate-Daga
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Eating and Weight Disorders
Subjects:
Online Access:https://doi.org/10.1007/s40519-025-01715-6
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author Antonio Preti
Francesco Bevione
Maria Carla Lacidogna
Andrea Raballo
Michele Poletti
Giovanni Abbate-Daga
author_facet Antonio Preti
Francesco Bevione
Maria Carla Lacidogna
Andrea Raballo
Michele Poletti
Giovanni Abbate-Daga
author_sort Antonio Preti
collection DOAJ
description Abstract Eating disorders (EDs) pose significant challenges to mental and physical health, particularly among adolescents and young adults, with the COVID-19 pandemic exacerbating risk factors. Despite advancements in psychosocial and pharmacological treatments, improvements remain limited. Early intervention in EDs, inspired by the model developed for psychosis, emphasizes the importance of timely identification and treatment initiation to improve prognosis. Challenges in identifying prodromal phases and measuring the duration of untreated illness highlight the complexity of early intervention efforts in EDs. Current research focuses on reducing the duration of untreated eating disorder (DUED) and understanding the cognitive and behavioral symptoms preceding ED onset. However, current early intervention programs for EDs showed mixed results, necessitating further investigation. We introduce here the chronopathogram, a tool that may aid in precisely investigating the role of development in EDs. A chronopathogram is a graphical representation of pathological events as they unfold over time. Understanding the neurodevelopmental aspects of EDs and utilizing tools like the chronopathogram can aid in tracking the unfolding of symptoms over time, facilitating early detection and intervention efforts. Overall, addressing the key factors influencing the onset and course of EDs is essential for effective early intervention in these conditions. Level of evidence: Level V narrative review.
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institution Kabale University
issn 1590-1262
language English
publishDate 2025-01-01
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series Eating and Weight Disorders
spelling doaj-art-3f7731c3060b499b86b55e8c29c1e7462025-01-26T12:10:28ZengSpringerEating and Weight Disorders1590-12622025-01-0130111010.1007/s40519-025-01715-6Early intervention in eating disorders: introducing the chronopathogramAntonio Preti0Francesco Bevione1Maria Carla Lacidogna2Andrea Raballo3Michele Poletti4Giovanni Abbate-Daga5Eating Disorders Unit, Department of Neuroscience, University of TurinEating Disorders Unit, Department of Neuroscience, University of TurinEating Disorders Unit, Department of Neuroscience, University of TurinChair of Psychiatry, Faculty of Biomedical Sciences, University of Southern SwitzerlandDepartment of Mental Health and Pathological Addiction, Child and Adolescent Neuropsychiatry Service, Azienda Unità Sanitaria Locale-IRCCS Di Reggio EmiliaEating Disorders Unit, Department of Neuroscience, University of TurinAbstract Eating disorders (EDs) pose significant challenges to mental and physical health, particularly among adolescents and young adults, with the COVID-19 pandemic exacerbating risk factors. Despite advancements in psychosocial and pharmacological treatments, improvements remain limited. Early intervention in EDs, inspired by the model developed for psychosis, emphasizes the importance of timely identification and treatment initiation to improve prognosis. Challenges in identifying prodromal phases and measuring the duration of untreated illness highlight the complexity of early intervention efforts in EDs. Current research focuses on reducing the duration of untreated eating disorder (DUED) and understanding the cognitive and behavioral symptoms preceding ED onset. However, current early intervention programs for EDs showed mixed results, necessitating further investigation. We introduce here the chronopathogram, a tool that may aid in precisely investigating the role of development in EDs. A chronopathogram is a graphical representation of pathological events as they unfold over time. Understanding the neurodevelopmental aspects of EDs and utilizing tools like the chronopathogram can aid in tracking the unfolding of symptoms over time, facilitating early detection and intervention efforts. Overall, addressing the key factors influencing the onset and course of EDs is essential for effective early intervention in these conditions. Level of evidence: Level V narrative review.https://doi.org/10.1007/s40519-025-01715-6Eating disordersAnorexia nervosaBulimia nervosaEarly interventionNeurodevelopmentRisk factors
spellingShingle Antonio Preti
Francesco Bevione
Maria Carla Lacidogna
Andrea Raballo
Michele Poletti
Giovanni Abbate-Daga
Early intervention in eating disorders: introducing the chronopathogram
Eating and Weight Disorders
Eating disorders
Anorexia nervosa
Bulimia nervosa
Early intervention
Neurodevelopment
Risk factors
title Early intervention in eating disorders: introducing the chronopathogram
title_full Early intervention in eating disorders: introducing the chronopathogram
title_fullStr Early intervention in eating disorders: introducing the chronopathogram
title_full_unstemmed Early intervention in eating disorders: introducing the chronopathogram
title_short Early intervention in eating disorders: introducing the chronopathogram
title_sort early intervention in eating disorders introducing the chronopathogram
topic Eating disorders
Anorexia nervosa
Bulimia nervosa
Early intervention
Neurodevelopment
Risk factors
url https://doi.org/10.1007/s40519-025-01715-6
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